Republic of the Philippines

Department of Education
REGION III- CENTRAL LUZON
SCHOOLS DIVISION OF NUEVA ECIJA

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DISTRICT: LUPAO _____

NAME OF SCHOOL: DOÑA JUANA CHIOCO NATIONAL HIGH SCHOOL
DATE: APRIL 14, 2024 PLACE TO VISIT: VIGAN, ILOCOS SUR
LIST OF LEARNERS
OFF CAMPUS ACTIVITY

No. Name of Learners With Anti- No Health

COVID Vaccine Issue
1 CHARIE J. GABORNO ∕ ∕
2 GILLIANE EUGENE ATHENA M. LEAL ∕ ∕
3 JHON DENVER R. MICU ∕ ∕
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 Republic of the Philippines
Department of Education
REGION III- CENTRAL LUZON
SCHOOLS DIVISION OF NUEVA ECIJA

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Names of Faculty and Staff and their Contact Number/s: ( Priority the adviser/co – adviser or subject –
teacher)

Name Contact Number

RODRIGO G. LAZO JR.
RODRIGO G. LAZO JR.
1. ___________________________________________
MARY ANN C. LAZO
2. ___________________________________________
3. ___________________________________________
09650589234
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09154196299
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